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Adult 3 > unit 1-1 > Flashcards

unit 1-1 Flashcards

1
Q

when to call rapid response-5

A
  1. staff concerned
  2. change in pt condition
  3. MEWS score (modified early warning system)
  4. fy concern
  5. s/s sepsis
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2
Q

first s/s sepsis-2

A

confusion, increase RR

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3
Q

keys for ACLS-5

A
  1. look, listen, feel for resp and pulse
  2. compression rate 30:2, now 100-120
  3. continuous compression w advanced airway
  4. defibrillation part of BLS
  5. start compressions w/n 10 sec of cardiac arrest
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4
Q

BLS overview-4

A
  1. push at least 2 in for adults, allow complete recoil
  2. minimize interruptions
  3. give effective breaths
  4. avoid excessive ventilation
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5
Q

sites for IO-3

A

humeral head (considered central line), tibial plateau, sternum

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6
Q

ETT medications-5

A

lidocaine, epinephrine, vasopressin, atropine, narcan

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7
Q

defibrillation procedure-5

A
  1. pads on chest
  2. charge
  3. “clear”
  4. shock
  5. continue CPR for 2 min then reassess rhythm
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8
Q

AED-2

A

rhythm analysis, continue CPR if no shock advised

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9
Q

cardioversion-3

A

must have pulse, Vtach, SVT, Afib

  • low current and synchronized w R wave
  • disrupts ectopic foci
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10
Q

ventricular fibrillation

pulseless ventricular tachycardia-3

A
  1. start CPR and call for defib
  2. shock, CPR (2 min); shock, CPR, epi (2 min); shock, CPR, amiodorone 300mg (2min); shock, CPR, epi; shock, CPR, amiodorone 150mg (no more)
  3. other drugs lidocaine, procainamide, sodium bicarb
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11
Q

torsades de pointes-3

A
  1. polymorphic VT
  2. give magnesium
  3. caused by prolonged QT plus low mag level
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12
Q

pulseless electrical activity (PEA)-5

A
  1. electricity w/o a pulse-> pump problem
  2. CPR
  3. treat cause
  4. epinephrine only
  5. may use narcan if suspect opoid overdose
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13
Q

asystole-5

A
  1. CPR
  2. epi
  3. confirm in 2 leads to look for vfib
  4. treat cause
  5. transcutaneous pacemaker
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14
Q

Hs-5

A
  1. hypoxia
  2. hydrogen ion (acidosis)
  3. hypovolemia
  4. hypo/hyperkalemia
  5. hypothermia
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15
Q

Ts-5

A
  1. tension pneumothorax
  2. tamponade
  3. toxins
  4. pulmonary thrombosis
  5. coronary thrombosis
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16
Q

symptomatic bradycardia-4

A
  1. atropine
  2. treat cause
  3. transcutaneous pacing
  4. dopamine or epi drip
17
Q

transcutaneous pacemaker-4

A
  1. symptomatic brady, asystole
  2. external pads
  3. demand mode
  4. sedation/analgesia as needed
18
Q

tachycardia- 3 questions

A
  1. is it narrow (SVT) or wide (VT)?
  2. is it stable (drugs) or unstable (cardiovert)?
  3. VT vs SVT
19
Q

cardioversion drugs-3

A

adenosine (SVT), cardizem, amiodorone

20
Q

oxygen

A

100% or 15L/min

21
Q

epinepherine-4

A
  1. vasoconstrictor
  2. alpha and beta-adrenergic effects
  3. for VF, pulseless VT, asystole, PEA, bradycardia, hypotension
  4. 1mg push q 3-5min
22
Q

atropine-3

A
  1. syptomatic bradycardia
  2. 0.5-1mg q 3-5min IV push
  3. not given in PEA or asystole
23
Q

amiodorone (cordarone)-4

A
  1. reduce membrane excitability
  2. prolongs action pot and retards refractory period to terminate VT and VF
  3. alpha and beta adrenergic blocking
  4. cardiac arrest 300mg then 150mg
24
Q

adenosine-5

A
  1. slows conduction through AV node
  2. paroxysmal supraventricular tachycardia
  3. short pause in rhythm after push-crash cart ready
  4. half-life 10 sec, duration 1-2min; 6mg, 12mg, 12mg (only 3 given)
  5. pt must be stable, increased HR, warm
25
Q

dopamine-2

A
  1. vasoconstrictor to increase BP, bradycardia

2. consider need for fluids first

26
Q

post-code goals-3

A
  1. optimize cardiopulmonary function
  2. transport to critical care unit
  3. determine cause of arrest to prevent
27
Q

capnography

A

if less than 10, compressions not adequate

28
Q

measure core body temp-4

A

bladder cath w probe, esophageal probe, rectal, pulmonary artery cath

29
Q

hypothermia electrolyte imbalances

A

cool- K, Mg, Phos, Ca decrease

warm- K, Mg, Phos, and Ca increase

Adult 3 (14 decks)

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